Complete the form below to request a new customer account or to request credit and Net 30 payment terms for an existing COD account. If you have an existing account and would like to register for online access please click here. Fields outlined in red are required.

New Customer Account Application

COD Only

Check here if you intend to pay using cash or credit card when placing orders.

Do you require PO numbers?

Company Information

Upload standard Company Information form – or – enter Company Information online below.

Upload PDF files only

Enter standard Company Information online
Enter your billing address below
Check this box if Shipping Address and Billing Address are the same.

Please select one

Primary Business Owner Information

Multiple business owners

Please contact us if additional information is required.

Key Personnel

Sales Tax Status

Will your purchases be subject to state/city sales tax?

Note: Please upload a copy of your exemption certificate with Standard Company Information Form above, or email to

Trade References

References provided with upload of Standard Company Information Form

Trade reference 1

Trade reference 2

Trade reference 3

Trade reference 4

Trade reference 5

Trade reference 6

Additional Information

Submit Application

By clicking "Submit application" below, you agree to the following:

The above information is true, complete, and accurate; that authorization to verify the above information is given; that the account of the undersigned will be paid in accordance with out terms of NET 30 DAYS; that a LATE SERVICE CHARGE of 1- 1/2 %, which is an annual percentage rate of 18%, will be paid on balances not paid in accordance with the above terms. That if suit or other action is instituted to collect any amount due to SOUTH SIDE CONTROL SUPPLY CO., the undersigned agrees to pay all expenses for said collection including but not limited to: fees from collection agencies, reasonable attorney fees, and court costs incurred by South Side Control Supply Co. in such suit, or other action or any appeal thereof.